期刊
JOURNAL OF NEUROLOGY
卷 260, 期 5, 页码 1339-1342出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00415-012-6802-1
关键词
Infective endocarditis; Stroke; Thrombolysis; Intracerebral hemorrhage
Infective endocarditis represents a classical contra-indication to thrombolysis for acute ischemic stroke due to a potential increased risk of intracranial hemorrhage. However, some case reports have suggested safety and potential efficacy of intravenous or intra-arterial thrombolysis in stroke related to infective endocarditis. We present a case of ischemic stroke related to infective endocarditis who was treated with intravenous tissue plasminogen activator within the first 3 h of symptoms onset and subsequently developed symptomatic multifocal intracerebral hemorrhages, and summarize currently available data on this issue.
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